Provider First Line Business Practice Location Address:
WBAMC, 5005 N. PIEDRAS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-742-8233
Provider Business Practice Location Address Fax Number:
915-742-4891
Provider Enumeration Date:
02/23/2011